How To Use CPT Code 54332

CPT 54332 describes a one-stage surgical procedure to correct hypospadias at the base of the penis, along with an extensive dissection to correct chordee and urethroplasty using a skin graft tube and/or island flap. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 54332?

CPT 54332 is used to describe a one-stage surgical procedure to correct hypospadias at the base of the penis. The procedure involves an extensive dissection to correct chordee, which is an abnormal curvature of the penis. Additionally, the provider performs urethroplasty using a skin graft tube and/or island flap.

2. Official Description

The official description of CPT code 54332 is: ‘One-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap.’

3. Procedure

1. The provider begins by making an incision at the base of the penis near the scrotum and around the meatus.
2. A wide rectangular flap is prepared from preputial skin and sutured together to form a tube, which will be used as part of the urethra.
3. The provider secures the resulting tube flap between the urethral opening underneath the shaft of the penis near the scrotum and the meatal opening created at the tip of the penis.
4. If necessary, the provider may also perform a circumcision to ensure smooth movement of the glans through the prepuce.
5. The incision is closed with sutures.

4. Qualifying circumstances

CPT 54332 is performed on patients with hypospadias, a condition in which the opening of the urethra is located on the underside of the penis rather than at the tip. The procedure is indicated for cases of proximal penile or penoscrotal hypospadias, which require extensive dissection to correct chordee and urethroplasty using a skin graft tube and/or island flap.

5. When to use CPT code 54332

CPT code 54332 should be used when a one-stage surgical procedure is performed to correct hypospadias at the base of the penis, along with extensive dissection to correct chordee and urethroplasty using a skin graft tube and/or island flap. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 54332, the provider must document the following information:

• Patient’s diagnosis of hypospadias
• Details of the procedure performed, including the use of a skin graft tube and/or island flap
• Date of the procedure
• Any additional procedures performed, such as circumcision
• Any complications or unexpected findings
• Signature of the provider

7. Billing guidelines

When billing for CPT 54332, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately document the details of the procedure and any additional procedures performed. CPT code 54332 should not be reported with other codes that describe similar procedures, such as CPT 15740. Providers should consider the island flap as an integral component of the procedure and not report it separately.

8. Historical information

CPT 54332 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider performs a one-stage surgical procedure to correct hypospadias at the base of the penis, corrects chordee, and performs urethroplasty using a skin graft tube.
2. A patient with proximal penile hypospadias undergoes a surgical procedure to correct the condition, including extensive dissection, chordee correction, and urethroplasty using an island flap.
3. A provider performs a one-stage penoscrotal hypospadias repair, which involves an extensive dissection, correction of chordee, and urethroplasty using a skin graft tube.
4. A patient with hypospadias undergoes a surgical procedure to correct the condition, including extensive dissection, chordee correction, and urethroplasty using a combination of a skin graft tube and an island flap.
5. A provider performs a one-stage surgical procedure to correct hypospadias at the base of the penis, corrects chordee, and performs urethroplasty using an island flap and a skin graft tube.
6. A patient with penoscrotal hypospadias undergoes a surgical procedure to correct the condition, including extensive dissection, chordee correction, and urethroplasty using a skin graft tube and an island flap.
7. A provider performs a one-stage surgical procedure to correct hypospadias at the base of the penis, corrects chordee, and performs urethroplasty using a skin graft tube and an island flap.
8. A patient with proximal penile hypospadias undergoes a surgical procedure to correct the condition, including extensive dissection, chordee correction, and urethroplasty using a skin graft tube.